Sophia Avery, is a medicare enrolled "Physician Assistant" physician in Rochester, New York. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Upstate Community Medical, Pc, Western New York Medical Practice Pc and her current practice location is
1555 Long Pond Rd, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 723-7000.
Sophia Avery is licensed to practice in Rhode Island (license number PA01390) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1174167100.
Physician's Profile
| Full Name | Sophia Avery |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 1555 Long Pond Rd, Rochester, New York |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sophia Avery graduated from medical school in 2019
NPI Data:
- NPI Number: 1174167100
- Provider Enumeration Date: 11/02/2019
- Last Update Date: 09/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 6103250691
- Enrollment ID: I20191216001169
Medical Identifiers
Medical identifiers for Sophia Avery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174167100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 1159188 (New York) | Secondary |
| 363A00000X | Physician Assistant | PA01390 (Rhode Island) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Upstate Community Medical, Pc | 0143238782 | 102 |
| Western New York Medical Practice Pc | 3870767791 | 409 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sophia Avery is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sophia Avery,
7469 W Ridge Rd,
Brockport, NY 14420-9429
Ph: (585) 331-3143 | Sophia Avery,
1555 Long Pond Rd,
Rochester, NY 14626-4122
Ph: (585) 723-7000 |
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